The nurse is planning care for an older client with chronic comorbid conditions. The nurse determines that insufficient health maintenance is the priority nursing diagnosis for this client due to non-adherence to the medication regimen. What are the most important nursing interventions for this client? Select all that apply.

Question

1. Ensure the client has written and verbal medication administration instructions.
2. Ask the client to identify ways in which the medication regimen can best fit the current lifestyle.
3. Have the client teach back any medication skills and knowledge after the learning session.
4. Browsing web resources with the nurse about how to use medications correctly.
5. Emphasize the importance of keeping medications organized with a pill planner.

Answer 1

1. Ensure the client has written and verbal medication administration instructions.
2. Ask the client to identify ways in which the medication regimen can best fit the current lifestyle.
3. Have the client teach back any medication skills and knowledge after the learning session.

Explanation: 1. After formulating nursing diagnoses, nursing interventions will be selected based upon the desired outcome. The nurse must make sure the client understands how to use the medications and that non-adherence is not due to lack of understanding.
2. After formulating nursing diagnoses, nursing interventions will be selected based upon acceptance of the intervention to the client. The nurse addresses issues such as what time medications are taken in relation to any side effects, interference with rest or work, and other common issues that, if addressed, increase compliance.
3. After formulating nursing diagnoses, nursing interventions will be selected based upon assurance that the intervention is appropriate and that the client has the understanding and ability to continue the plan.
4. The nurse can direct the client to reputable websites about conditions and medications, but the nurse should be offering and reviewing institution approved and provided client-teaching materials.
5. The client should do whatever will work for them, and the nurse works with the client to determine what method is best for them to keep up with their medications. Pill planners are not the best solution for everyone.